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NPI Code Detail

MEDICARE: DR. MARILYN SUE KAMP PHARM.D

MEDICARE:  DR. MARILYN SUE KAMP  PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist530241140MI

General Provider Information

NPI Number : 1437141603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARILYN SUE KAMP PHARM.D
Provider Business Mailing Address
First Line : 9917 CRESCENT SHORES RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-8080
Country : US
Telephone Number : 231-620-1297
Fax Number :
Provider Business Practice Location Address
First Line : 1500 WEISS ST
Second Line : (TRAVERSE CITY VA OUTPATIENT CLINIC)
City : SAGINAW
State : MI
Zip : 48602-5251
Country : US
Telephone Number : 231-932-9720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 08/03/2009

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Directions to “ DR. MARILYN SUE KAMP PHARM.D” Practice Location

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